HomeMy Public PortalAbout9579 PENTLAND ST_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING G'
WILLIAM J.. FOX, COUNTY ENGINEER ADDRESS
FOR APPLICANT TO FILL IN LOCALITY
NEAREST
ADDRESS + CROSS ST.
/� DISTRICT NO. GROUP ZONE PERMIT O.
NEALOCALITY +��� 0°G L^ I1,T Y I
GROSSEST. �' RECEIVED BY Ready for Inopootion ATE ISS ED
OWNER A
MAIL Q INDUS RIAL
ADDRES klE
L�o WASTE APPROVAL
CITY L L- EL.NO. - '^ INSPECTION RECORD
PLUMBER ( LCA C� 1���od e,
ADDRESS —
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CITY 676 L TEL NO.L-® [3 STATE
LICENSE NO. z M BOUNTY
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PERMIT FEES z
11UMnER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 0.80 S O
BATH TUB @ 0.80 fro
SHOWER 0 0.80
LAVATORY(WASH BASIN) 0 0.80
KITCHEN SINK Q 0.80
LAUNDRY TUB OR TRAY 0 0.80
SLOPSINK Q 0.80
FLOORSINK @ 0.80
FLOOR DRAIN G 0.80
DISHWASHER @ 10.80
DRINKING FOUNTAIN 0 0.80
URINAL @ 0.80
OAS SYSTEM...... ..._OUTLETS 0 1.00 Ada
WATER HEATER 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT 1 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING /
1 HEREBY ACKNOWLEDGE THAT I HAVE READ T IS APPLI- OAS VENT
CATION AND STATE THAT THE ABOVE 13 CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES dd
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY OAS TEST A ��a
AND STATE OF CALIFO IA OR THAT 1 AM THE LEGAL OWN-
ER OF THE ABOVE D ED RE8IDENTI PROPE TY. UTILITY CO.NOTIFIED (/
i� 1
SOF PERfiARTTE _. ...._.._.._.._......_ ..._ .. FINAL 'A'
SII
76AG67 DSS 17